Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 025309 | NY |
NPI | 1003402405 |
---|---|
Provider Name | Kate Horohoe |
First Address | Pearl River, NY 10965-2635 |
Second Address | Staten Island, NY 10312-2025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2020 |
Last Update Date | 22/12/2020 |